Cardiol Res

Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access

Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc

Journal website https://www.cardiologyres.org

Original Article

Volume 8, Number 5, October 2017, pages 190-198

Occurrence and Impact of Time Delay to Primary Percutaneous Coronary Intervention in Patients With ST-Segment Elevation Myocardial Infarction

**Table 1.** Basic Clinical and Demographic Data in STEMI Patientss
Basic clinical and demographic variables in STEMI patients	All patients (n = 357)	Time from symptoms onset to hospital arrival	P value	Time from hospital arrival to cathlab arrival	P value	Door to first balloon time	P value	Time from cathlab arrival to first balloon	P value
Mean age in years	62.3	62.2	62.8	0.65	62.1	63.3	0.66	61.8	63	0.4	62.1	62.8	0.68
Male sex	80.7	50.3	30.4	0.22	58.7	22	0.4	50.4	30.3	0.3	63.1	17.6	0.45
Female sex	19.3	9.2	10.1	0.4	13.3	6	0.2	12.9	6.4	0.3	15.4	3.9	0.3
Positive family history of CAD	21.6	15.4	6.2	0.07	15.8	5.8	0.45	14	7.6	0.4	17.4	4.2	0.37
DM	15.1	7.5	7.6	0.34	13.1	2	0.6	10.1	5	0.34	12.6	2.5	0.22
HTN	54.3	33.1	21.2	0.5	35.9	18.4	0.28	34.1	20.2	0.47	42	12.3	0.33
Hypercholesterolemia	66.4	41	25.4	0.17	46.3	20.1	0.23	41.5	24.9	0.36	52.4	14	0.43
Previous MI	8.1	6.5	1.6	0.029	6.1	2	0.065	5.3	2.8	0.48	6.1	2	0.43
Previous PCI	9	8.1	0.9	0.02	6.4	2.6	0.7	5.3	3.7	0.47	6.2	2.8	0.18
Previous CABG	2.5	1.6	0.9	0.61	2	0.5	0.64	2	0.5	0.29	1.7	0.8	0.3
CHF	0.6	0.5	0.1	0.61	0.3	0.3	0.25	0.3	0.3	0.26	0.6	0	0.6
Previous stroke	2.2	0.8	1.4	0.013	1.1	1.1	0.62	1.4	0.8	0.61	2	0.2	0.68
Current smokers	43.4	30.7	12.7	0.56	30.4	13	0.48	27.7	15.7	0.97	32.6	11.8	0.075
Peak CK-MB	60	47	103	0.000	58	80	0.063	56	68	0.74	57	76	0.21
Peak troponin T	0.51	0.36	1	0.000	0.51	0.54	0.075	0.36	0.77	0.0006	0.38	1	0.005

Table 1. Basic Clinical and Demographic Data in STEMI Patientss

Basic clinical and demographic variables in STEMI patients

All patients (n = 357)

Time from symptoms onset to hospital arrival

P value

Time from hospital arrival to cathlab arrival

P value

Door to first balloon time

P value

Time from cathlab arrival to first balloon

P value

Within 3 h (57.4%)

After 3 h (42.6%)

Within 30 min (59.4%)

After 30 min (40.6%)

Within 90 min (63.3%)

After 90 min (36.7%)

Within 1 h (78.4%)

After 1 h (21.6%)

Mean age in years

62.3

62.2

62.8

0.65

62.1

63.3

0.66

61.8

0.4

62.1

62.8

0.68

Male sex

80.7

50.3

30.4

0.22

58.7

0.4

50.4

30.3

0.3

63.1

17.6

0.45

Female sex

19.3

9.2

10.1

0.4

13.3

0.2

12.9

6.4

0.3

15.4

3.9

0.3

Positive family history of CAD

21.6

15.4

6.2

0.07

15.8

5.8

0.45

7.6

0.4

17.4

4.2

0.37

15.1

7.5

7.6

0.34

13.1

0.6

10.1

0.34

12.6

2.5

0.22

HTN

54.3

33.1

21.2

0.5

35.9

18.4

0.28

34.1

20.2

0.47

12.3

0.33

Hypercholesterolemia

66.4

25.4

0.17

46.3

20.1

0.23

41.5

24.9

0.36

52.4

0.43

Previous MI

8.1

6.5

1.6

0.029

6.1

0.065

5.3

2.8

0.48

6.1

0.43

Previous PCI

8.1

0.9

0.02

6.4

2.6

0.7

5.3

3.7

0.47

6.2

2.8

0.18

Previous CABG

2.5

1.6

0.9

0.61

0.5

0.64

0.5

0.29

1.7

0.8

0.3

CHF

0.6

0.5

0.1

0.61

0.3

0.25

0.3

0.26

0.6

Previous stroke

2.2

0.8

1.4

0.013

1.1

0.62

1.4

0.8

0.61

0.2

0.68

Current smokers

43.4

30.7

12.7

0.56

30.4

0.48

27.7

15.7

0.97

32.6

11.8

0.075

Peak CK-MB

103

0.000

0.063

0.74

0.21

Peak troponin T

0.51

0.36

0.000

0.51

0.54

0.075

0.36

0.77

0.0006

0.38

0.005

**Table 2.** Outcomes of STEMI Patients at 0 Day, 30 Days and 1 Year
Outcome variables at 0 day, 30 days and 1 year for STEMI patients	All patients (n = 357)	Time from symptoms onset to hospital arrival	P value	Time from hospital arrival to cathlab arrival	P value	Door to balloon time	P value	Time from cathlab arrival to first balloon	P value
All deaths at 0 day	1.7	1.1	0.6	0.66	1.4	0.3	0.44	0.8	0.9	0.49	0.8	0.9	0.088
Cardiac deaths at 0 day	1.4	0.9	0.5	0.75	1.2	0.2	0.48	0.6	0.8	0.27	0.6	0.8	0.035
Any MI at 0 day (in hospital reinfarction)	0.6	0.3	0.3	0.34	0.5	0.1	0.73	0.3	0.3	0.69	0	0.6	0.007
Recurrent revascularization at 0 day	0.8	0.5	0.3	0.5	0.6	0.2	0.63	0.2	0.6	0.28	0.2	0.6	0.056
Stent thrombosis at 0 day	0.3	0	0.3	0.21	0.2	0.1	0.86	0.3	0	0.44	0	0.3	0.056
Cerebrovascular events at 0 day	0	0	0	-	0	0	-	0	0	-	0	0	-
MAACE at 0 day	2.2	1.3	0.9	0.5	1.5	0.7	0.5	0.8	1.4	0.12	0.8	1.4	0.004
Bleeding at 0 day	5.6	3.2	2.4	0.45	3.6	2	0.4	3.9	1.7	0.52	4.5	1.1	0.86
All deaths at 30 days	1.7	1.1	0.6	0.63	1.5	0.2	0.45	0.8	0.9	0.49	0.8	0.9	0.088
Cardiac deaths at 30 days	1.4	0.9	0.5	0.7	1.2	0.2	0.46	0.6	0.8	0.27	0.6	0.8	0.035
Any MI at 30 days	0.8	0.5	0.3	0.5	0.7	0.1	63	0	0.8	0.9	0	0.8	0.001
Recurrent revascularization at 30 days	2	1.3	0.7	0.54	1.7	0.3	0.67	1.1	0.9	0.73	1.1	0.9	0.16
Stent thrombosis at 30 days	0.8	0.5	0.3	0.51	0.8	0	0.63	0.8	0	0.18	0.3	0.5	0.056
Cerebrovascular events at 30 days	0	0	0	-	0	0	-	0	0	-	0	0	-
MAACE at 30 days	3.6	2.2	1.4	0.55	1.8	1.8	0.32	2	1.6	0.46	2	1.6	0.069
Bleeding at 30 days	6.4	3.8	2.6	0.38	4.6	1.8	0.62	4.4	2	0.52	5.3	1.1	0.61
All deaths at 1 year	3.6	2.2	1.4	0.3	3	0.6	0.13	2.5	1.1	0.65	2.8	0.8	0.89
Cardiac deaths at 1 year	2.2	1.2	1	0.54	2	0.2	0.3	1.4	0.8	0.96	1.4	0.8	0.26
Any MI at 1 year	2.5	0.9	1.6	0.008	2.1	0.4	0.25	2	5	0.36	1.1	1.4	0.012
Recurrent revascularization at 1 year	5.3	3	2.3	0.2	4.3	1	0.49	4.2	1.1	0.14	3.6	1.6	0.27
Stent thrombosis at 1 year	1.4	0.8	0.6	0.28	1	0.4	0.46	1.4	0	0.32	0.6	0.8	0.056
Cerebrovascular events at 1 year	0.3	0	0.3	0.2	0.3	0	0.86	0.3	0	0.69	0.3	0	0.69
MAACE at 1 year	7.8	4.9	2.9	0.12	4.6	3.2	0.2	5.6	2.2	0.35	5	2.8	0.057
Bleeding at 1 year	9.2	5.7	3.5	0.25	6.8	2.4	0.5	6.2	3.1	0.67	7.6	1.7	0.62

Table 2. Outcomes of STEMI Patients at 0 Day, 30 Days and 1 Year

Outcome variables at 0 day, 30 days and 1 year for STEMI patients

All patients (n = 357)

Time from symptoms onset to hospital arrival

P value

Time from hospital arrival to cathlab arrival

P value

Door to balloon time

P value

Time from cathlab arrival to first balloon

P value

Within 3 h (57.4%)

After 3 h (42.6%)

Within 30 min (59.4%)

After 30 min (40.6%)

Within 90 min (63.3%)

After 90 min (36.7%)

Within 1 h (78.4%)

After 1 h (21.6%)

All deaths at 0 day

1.7

1.1

0.6

0.66

1.4

0.3

0.44

0.8

0.9

0.49

0.8

0.9

0.088

Cardiac deaths at 0 day

1.4

0.9

0.5

0.75

1.2

0.2

0.48

0.6

0.8

0.27

0.6

0.8

0.035

Any MI at 0 day (in hospital reinfarction)

0.6

0.3

0.34

0.5

0.1

0.73

0.3

0.69

0.6

0.007

Recurrent revascularization at 0 day

0.8

0.5

0.3

0.5

0.6

0.2

0.63

0.2

0.6

0.28

0.2

0.6

0.056

Stent thrombosis at 0 day

0.3

0.21

0.2

0.1

0.86

0.3

0.44

0.3

0.056

Cerebrovascular events at 0 day

MAACE at 0 day

2.2

1.3

0.9

0.5

1.5

0.7

0.5

0.8

1.4

0.12

0.8

1.4

0.004

Bleeding at 0 day

5.6

3.2

2.4

0.45

3.6

0.4

3.9

1.7

0.52

4.5

1.1

0.86

All deaths at 30 days

1.7

1.1

0.6

0.63

1.5

0.2

0.45

0.8

0.9

0.49

0.8

0.9

0.088

Cardiac deaths at 30 days

1.4

0.9

0.5

0.7

1.2

0.2

0.46

0.6

0.8

0.27

0.6

0.8

0.035

Any MI at 30 days

0.8

0.5

0.3

0.5

0.7

0.1

0.8

0.9

0.8

0.001

Recurrent revascularization at 30 days

1.3

0.7

0.54

1.7

0.3

0.67

1.1

0.9

0.73

1.1

0.9

0.16

Stent thrombosis at 30 days

0.8

0.5

0.3

0.51

0.8

0.63

0.8

0.18

0.3

0.5

0.056

Cerebrovascular events at 30 days

MAACE at 30 days

3.6

2.2

1.4

0.55

1.8

0.32

1.6

0.46

1.6

0.069

Bleeding at 30 days

6.4

3.8

2.6

0.38

4.6

1.8

0.62

4.4

0.52

5.3

1.1

0.61

All deaths at 1 year

3.6

2.2

1.4

0.3

0.6

0.13

2.5

1.1

0.65

2.8

0.8

0.89

Cardiac deaths at 1 year

2.2

1.2

0.54

0.2

0.3

1.4

0.8

0.96

1.4

0.8

0.26

Any MI at 1 year

2.5

0.9

1.6

0.008

2.1

0.4

0.25

0.36

1.1

1.4

0.012

Recurrent revascularization at 1 year

5.3

2.3

0.2

4.3

0.49

4.2

1.1

0.14

3.6

1.6

0.27

Stent thrombosis at 1 year

1.4

0.8

0.6

0.28

0.4

0.46

1.4

0.32

0.6

0.8

0.056

Cerebrovascular events at 1 year

0.3

0.2

0.3

0.86

0.3

0.69

0.3

0.69

MAACE at 1 year

7.8

4.9

2.9

0.12

4.6

3.2

0.2

5.6

2.2

0.35

2.8

0.057

Bleeding at 1 year

9.2

5.7

3.5

0.25

6.8

2.4

0.5

6.2

3.1

0.67

7.6

1.7

0.62